Psychological Impact of the COVID-19 Outbreak on Nurses in China: A Nationwide Survey During the Outbreak

Liu, Yan; Long, Youlin; Cheng, Yifan; Guo, Qiong; Yang, Liu; Lin, Yifei; Cao, Yu; Ye, Lei; Yan, Jiang; Li, Ka; Tian, Kun; Xiaoming, A; Sun, Cheng Xi; Zhang, Fang; Song, Xun; Liao, Ga; Huang, Jin; Li, Du

doi:10.3389/fpsyt.2020.598712

Cited by 23 publications

(26 citation statements)

References 32 publications

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“…In addition, nurses and advanced practice providers had a higher percentage of psychological symptoms compared to attending physicians [39]. In contrast, Liu and colleagues in their study looking at psychological impact of COVID-19 on nurses in China found second line nurses had a higher incidence of distress than frontline nurses [13]. In our study, we found that front-line nurses at our institution had higher rates of distress compared to second-line nurses not involved in the care of COVID-19 patients.…”

Section: Plos Onementioning

confidence: 90%

“…The pandemic has been linked to various psychological disorders especially in healthcare workers involved in the direct care of COVID-19 patients, with many studies showing increased levels of depression, anxiety, stress and burnout most notably among frontline nurses [11][12][13][14][15][16][17][18]. A study looking at the prevalence of mental health disorders among nurses in China during the COVID-19 outbreak, found that COVID-19 related stress (such as workload and fear of infection) was associated with higher risk of depression and anxiety.…”

Section: Plos Onementioning

confidence: 99%

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COVID-19 and mental well-being of nurses in a tertiary facility in Kenya

Ali

Shah

Talib³

2021

PLoS ONE

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Background The 2019 coronavirus disease (COVID-19) epidemic is a global health emergency which has been shown to pose a great challenge to mental health, well-being and resilience of healthcare workers, especially nurses. Little is known on the impact of COVID-19 among nurses in sub-Saharan Africa. Methods A cross sectional study was carried out between August and November 2020 among nurses recruited from the Aga Khan University Hospital, Nairobi. The survey questionnaire consisted of six components- demographic and work title characteristics, information regarding care of COVID-19 patients, symptoms of depression, anxiety, insomnia, distress and burnout, measured using standardized questionnaires. Multivariable logistic regression analysis was performed to identify factors associated with mental health disorders. Results Of 255 nurses, 171 (67.1%) consented to complete the survey. The median age of the participants was 33.47 years, 70.2% were females and 60.8% were married. More than half, 64.9% were frontline workers directly engaged in COVID-19 care. Only 1.8% reported a prior history or diagnosis of any mental health disorder. Depression, anxiety, insomnia, distress, and burnout were reported in 45.9%, 48.2%, 37.0%, 28.8% and 47.9% of all nurses. Frontline nurses reported experiencing more moderate to severe symptoms of depression, distress and burnout. Furthermore, females reported more burnout as compared to males. Multivariate logistic regression analysis showed that after adjustment, working in the frontlines was an independent risk variable for depression and burnout. Conclusion This is one of the few studies looking at mental health outcomes among nurses during the COVID-19 pandemic in Kenya. Similar to other studies from around the world, nurses directly involved with COVID-19 patients reported higher rates of mental health symptoms. Burnout threatens to exacerbate the pre-existing severe nursing workforce shortage in low-resource settings. Cost-effective and feasible mitigating strategies, geared to low-middle income countries, are urgently needed to help cope with mental health symptoms during such a pandemic.

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Section: Plos Onementioning

confidence: 90%

Section: Plos Onementioning

confidence: 99%

COVID-19 and mental well-being of nurses in a tertiary facility in Kenya

Ali

Shah

Talib³

2021

PLoS ONE

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“…Medical and mental health of the medical staff, especially that of nurses, is directly affected by the quality of their performance in caring for patients. A high workload and insufficient personal protective equipment should be minimized to improve the physical and mental health of nurses, considering unique departmental demands [84,85].…”

Section: Psychological Effects Of Covid-19 On Health Care Workersmentioning

confidence: 99%

Neuropsychological and Psychosocial Consequences of the COVID-19 Pandemic

Namdar

Mojabi

2020

Neurophysiology

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The coronavirus disease designated as COVID-19 reached the level of a pandemic, affecting countries all across the world. Widespread outbreaks of COVID-19 are associated with psychological distress and symptoms of mental disorders. This article is a narrative review of the existing scientific literature on mental health of the society and interventions relevant to the COVID-19 pandemic. A search in the existing databases using the respective keywords has been carried out. It focuses on the consequences of the pandemic with respect to people’s mental health in different clusters of society, including children, health care workers and their relatives, and pregnant women and their families. The unpredictability of the virus pandemic and its high transmission rate is an emergency of psychological problems and certain neuropsychological symptoms, such as fear and abnormal high anxiety, with respect to the spread of the disease, depression, avoidant behaviors, sleep disturbance, irritability, post-traumatic stress disorder (PTSD), pathological anger, and suicide cases.

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“…A systematic review revealed that the psychological impact was greater among frontline nurses than in the rest of the health professionals [9]. In a nationwide survey of an Asian country, the psychological distress of frontline nurses was generally serious [10]. In Hong Kong, many practicing nurses at the frontline in the public sector are working in case or surveillance wards to take care of suspected or confirmed COVID-19 cases [11].…”

Section: Introductionmentioning

confidence: 99%

Psychological Impact of the COVID-19 Pandemic on Licensed Full-Time Practicing Nurses Undertaking Part-Time Studies in Higher Education: A Cross-Sectional Study

Chan

Takemura

Chau

et al. 2021

IJERPH

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Frontline nurses face an unpreceded situation with the coronavirus disease (COVID-19) pandemic, and many report suffering from physical and psychological stress. This online, cross-sectional survey used questionnaires, such as the Generalized Anxiety Disorder (GAD-7) questionnaire, the Patient Health Questionnaire (PHQ-2), the Connor–Davidson Resilience Scale, stress-related questions, and Brief Coping Orientation to Problems Experienced (Brief-COPE), to determine the psychological impact of COVID-19 on licensed full-time practicing nurses undertaking part-time studies in higher education. Recruitment commenced from August to September 2020; 385 students were approached, and 124 completed the survey (response rate: 32%). Most of the respondents were frontline nurses working in public sectors (89.5%), 29% of whom reported symptoms of depression, and 61.3% reported mild to severe levels of anxiety. The GAD-7 was significantly associated with the resilience score (β = −0.188; p = 0.008) and exhaustion (β = 0.612; p < 0.001). The PHQ-2 was significantly associated with ‘anxiety about infection’ (β = 0.071; p = 0.048). A lower anxiety level was significantly associated with a higher resilience level and a lower level of exhaustion, and a lower depression level was significantly associated with a lower anxiety about infection. Nursing programs incorporating resilience building may mitigate psychological distress of the study population.

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Psychological Impact of the COVID-19 Outbreak on Nurses in China: A Nationwide Survey During the Outbreak

Cited by 23 publications

References 32 publications

COVID-19 and mental well-being of nurses in a tertiary facility in Kenya

COVID-19 and mental well-being of nurses in a tertiary facility in Kenya

Neuropsychological and Psychosocial Consequences of the COVID-19 Pandemic

Psychological Impact of the COVID-19 Pandemic on Licensed Full-Time Practicing Nurses Undertaking Part-Time Studies in Higher Education: A Cross-Sectional Study

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